Complicated Newborn Practice Test Questions
and Answers with Complete Solutions
Which is a gastrointestinal manifestation of infection in the newborn?
a. Lethargy
b. Irritability
c. Nasal flaring
d. Poor perfusion
e. Glucose instability - ANSWER Glucose instability
The parents of a preterm infant are preparing to take their baby home. How
would the nurse best evaluate the parents' competency in infant care? -
ANSWER Observe the parents while they are giving care to their infant
The nurse is caring for a newborn whose mother was prescribed an opioid
analgesic throughout pregnancy. Which action would the nurse include in the plan
of care? - ANSWER Offering small, frequent feedings
The parent of a preterm infant asks the nurse in the neonatal intensive care unit
why the baby is in a bed with a radiant warmer. How would the nurse explain the
increased risk for hypothermia in preterm infants? - ANSWER Lack the
subcutaneous fat that usually provides insulation
Which maternal condition would cause the nurse to expect signs of respiratory
distress syndrome (RDS) in a neonate? - ANSWER Type 1 diabetes
(delayed synthesis of surfactant caused by a high serum level of insulin)
, Respiratory distress syndrome (RDS) develops 6 hours after birth in a neonate
born at 33 weeks' gestation. Which would the nurse's assessment of the newborn
at this time reveal? - ANSWER Intercostal retractions
An infant of a diabetic mother is admitted to the neonatal intensive care unit.
Which is the priority nursing intervention for this infant? - ANSWER Obtaining
heel blood to test the glucose level
Which is the focus of nursing care for a newborn with respiratory distress
syndrome? - ANSWER Keeping the infant warm to maintain body temperature
at 98°F (37°C)
After a difficult vaginal birth, assessment of a full-term newborn reveals an
unequal Moro reflex on one side and a flaccid arm in adduction. Which problem
would the nurse suspect? - ANSWER Brachial palsy
On her first visit to the neonatal intensive care unit to see her preterm newborn,
the mother's only comment to the nurse is, "My baby looks so fragile. Do you
think my child will make it?" Which is the most appropriate response by the
nurse? - ANSWER "It's understandable that your baby looks fragile to you.
What have you learned about the condition?"
A preterm neonate admitted to the neonatal intensive care nursery exhibits
muscle twitching, seizures, cyanosis, abnormal respirations, and a short, shrill cry.
Which complication would the nurse suspect? - ANSWER Intercranial
hemorrhage
and Answers with Complete Solutions
Which is a gastrointestinal manifestation of infection in the newborn?
a. Lethargy
b. Irritability
c. Nasal flaring
d. Poor perfusion
e. Glucose instability - ANSWER Glucose instability
The parents of a preterm infant are preparing to take their baby home. How
would the nurse best evaluate the parents' competency in infant care? -
ANSWER Observe the parents while they are giving care to their infant
The nurse is caring for a newborn whose mother was prescribed an opioid
analgesic throughout pregnancy. Which action would the nurse include in the plan
of care? - ANSWER Offering small, frequent feedings
The parent of a preterm infant asks the nurse in the neonatal intensive care unit
why the baby is in a bed with a radiant warmer. How would the nurse explain the
increased risk for hypothermia in preterm infants? - ANSWER Lack the
subcutaneous fat that usually provides insulation
Which maternal condition would cause the nurse to expect signs of respiratory
distress syndrome (RDS) in a neonate? - ANSWER Type 1 diabetes
(delayed synthesis of surfactant caused by a high serum level of insulin)
, Respiratory distress syndrome (RDS) develops 6 hours after birth in a neonate
born at 33 weeks' gestation. Which would the nurse's assessment of the newborn
at this time reveal? - ANSWER Intercostal retractions
An infant of a diabetic mother is admitted to the neonatal intensive care unit.
Which is the priority nursing intervention for this infant? - ANSWER Obtaining
heel blood to test the glucose level
Which is the focus of nursing care for a newborn with respiratory distress
syndrome? - ANSWER Keeping the infant warm to maintain body temperature
at 98°F (37°C)
After a difficult vaginal birth, assessment of a full-term newborn reveals an
unequal Moro reflex on one side and a flaccid arm in adduction. Which problem
would the nurse suspect? - ANSWER Brachial palsy
On her first visit to the neonatal intensive care unit to see her preterm newborn,
the mother's only comment to the nurse is, "My baby looks so fragile. Do you
think my child will make it?" Which is the most appropriate response by the
nurse? - ANSWER "It's understandable that your baby looks fragile to you.
What have you learned about the condition?"
A preterm neonate admitted to the neonatal intensive care nursery exhibits
muscle twitching, seizures, cyanosis, abnormal respirations, and a short, shrill cry.
Which complication would the nurse suspect? - ANSWER Intercranial
hemorrhage
